MILD DEGENERATIVE CHANGES AS DESCRIBED ABOVE.No erosive or destructive changes are seen. There is mild degenerative change with mild endplate spur formation and mild facet sclerosis at all levels. No fractures, subluxations or other acute bony abnormalities are identified. There is a little bit of superior sclerosis at the acetabula bilaterally. There is no visible enthesopathy in the limited views of the pelvis. Hips, two views of the right and left hip were obtained. Suspected coccyx fracture, age indeterminate. There is a little bit of sacroiliac sclerosis bilaterally, more so on the right. Facet joints appear within normal limits bilaterally. Intervertebral disc spaces are maintained. There is straightening of normal lumbar lordosis. There appears to be a fracture at the coccyx which is age indeterminate. Lumbosacral spine, multiple views of the lumbar spine were obtained. X-RAY DEPARTMENT REPORT SAMPLE #4 X-RAY No.: Three view of the left foot show no evidence of fracture, dislocation, or other acute bony abnormality. Pre-contrast T1 weighted sagittal and axial images and post-contrast axial and coronal images. The hilar and pulmonary vasculature is normal. A faint rounded density is seen in the base of the left lower hemithorax probably representing a nipple shadow. There is no evidence of any focal area of consolidation. REASON FOR EXAMINATION: Fever, aches and pains/flu-like symptoms.ĭISCUSSION: The lungs are well aerated. Minimal periarticular calcification at the left shoulder with none seen on the right. Mild humeral head elevation, left greater than right, concerning for rotator cuff tendinopathy.ģ. There is mild elevation in the humeral head at the left and perhaps a minimal amount on the right.ġ. There is minimal periarticular calcification at the left shoulder near the supraspinatus insertion. A pacemaker is seen in the left hemithorax. There is mild degenerative change at the AC joint with some joint space narrowing. Bony mineralization appears within normal limits. Shoulders, two views of the right and left shoulder were obtained. There are scattered areas of joint space narrowing at the PIP and DIP joints. There are no erosions seen at any of the MCP or PIP joints. There are some degenerative changes seen at the carpus but without any obvious erosive changes. There are OA changes seen at the first CMC joint with subchondral sclerosis and joint space narrowing. Hands and wrists, two views of the right and left hand and wrist were obtained. If the base of skull is superimposed over the upper aspect of the dens, the head needs to be hyperflexed or in the case of trauma, the central ray should be angled caudally.Medical X-Ray report samples: X-Ray Report Sample #1 X-RAY No.: If teeth are superimposed over the upper aspect of the dens, the head needs to be hyperextended or in the case of trauma, the central ray should be angled cephalic. Positional errors Teeth superimposing the dens make sure that any removable artifacts such as earrings, glasses or metal dentures are removed to avoid obscuring the anatomy of interest.the zygapophyseal joint space between C1 and C2 is symmetrical.the dens is free from superimposition of the adjacent atlas lateral masses or other tissues 2.superior-inferior to include the upper incisors and lower incisors.angle accordingly see 'patient positioning'.the central ray is centered at the center of the open mouth.do not move the head in trauma, angle the central accordingly.the head should be positioned so the lower margin of the upper incisors and the base of the skull are perpendicular to the image receptor.at the last instant, the patient is instructed to open their mouth as wide as possible.patient’s shoulders should be at equal distances from the image receptor to avoid rotation, the head facing straight forward.patient positioned erect in AP position unless trauma the patient will be supine.The vertebral bodies and discs are of normal height with no malalignment. No fractures or other bony abnormalities are identified in the cervical spine. Bone and soft windows were reconstructed. This view focuses primarily on the odontoid process of C2, and is useful in visualizing odontoid and Jefferson fractures. The cervical spine checklist is just one of the many pathology checklists that can be used when reporting to ensure that you always actively exclude pathology that is commonly missed this is particularly helpful in the examination setting, e.g. Fine slice non-contrast helical CT images were obtained from the skull base to the thoracic inlet.
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